Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,945.55 / $3,945.55 / $100,277.00	Professional		$3,945.55	$3,945.55	$100,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,466.27 / $1,832.83 / $30,891.32	Professional		$1,466.27	$1,832.83	$30,891.32
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $651.99 / $12,076.35 / $16,685.04	Professional		$651.99	$12,076.35	$16,685.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,642.22 / $21,923.00 / $40,363.21	Facility		$1,642.22	$21,923.00	$40,363.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,872.35 / $28,390.78 / $52,200.41	Professional		$1,872.35	$28,390.78	$52,200.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,642.22 / $21,944.42 / $35,317.83	Facility		$1,642.22	$21,944.42	$35,317.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,518.19 / $22,704.32 / $35,419.37	Professional		$1,518.19	$22,704.32	$35,419.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $742.37 / $9,289.50 / $24,891.11	Professional		$742.37	$9,289.50	$24,891.11
United Facility/Professional Facility Modifier Low / Median / High Price $23,138.39 / $37,859.16 / $46,115.68	Facility		$23,138.39	$37,859.16	$46,115.68
United Facility/Professional Professional Modifier Low / Median / High Price $15,526.43 / $27,002.48 / $43,950.59	Professional		$15,526.43	$27,002.48	$43,950.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,391.90 / $1,637.50 / $24,488.90	Professional		$1,391.90	$1,637.50	$24,488.90